Provider Demographics
NPI:1659648509
Name:GARBARINO, ADRIENNE NICOLE (NP)
Entity Type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:NICOLE
Last Name:GARBARINO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ADRIENNE
Other - Middle Name:NICOLE
Other - Last Name:GUTKNECHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:3030 PEEVEY CREEK LN
Mailing Address - Street 2:
Mailing Address - City:OWENS CROSS ROADS
Mailing Address - State:AL
Mailing Address - Zip Code:35763-3800
Mailing Address - Country:US
Mailing Address - Phone:334-750-1566
Mailing Address - Fax:
Practice Address - Street 1:2004 WHITESBURG DR SW
Practice Address - Street 2:SUITE 300
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801
Practice Address - Country:US
Practice Address - Phone:256-808-8836
Practice Address - Fax:866-717-6708
Is Sole Proprietor?:No
Enumeration Date:2011-11-21
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC18688363LF0000X
GARN202617363LF0000X
AL1-118518207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily